1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELARA SAMUEL MD
NPI 1386224798
Internal Medicine in Atlanta, GA

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
105 COLLIER RD NW STE 5040, ATLANTA, GA 30309(404) 367-3210 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2026, Jul 8, 2026, Apr 9, 2021 (3 updates tracked since 2021).

About Kelara Samuel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELARA SAMUEL MD (NPI 1386224798) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (110727) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386224798
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELARA SAMUELCredential: MD
Location Address105 COLLIER RD NW STE 5040Atlanta, GA 30309-1731
Mailing Address17 Davis Blvd Ste 308Tampa, FL 33606-3438
Phone(404) 367-3210
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1386224798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 110727
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
105 COLLIER RD NW STE 5040, Atlanta, GA 30309
Open in Google Maps ↗

Secondary Practice Location 1

Location 117 Davis Blvd Ste 308Tampa, FL 33606-3438 · Phone (813) 974-2201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelara Samuel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567923519
PECOS Enrollment IDI20260909005329
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IMAD MOHAMAD EL-KEBBI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
105 COLLIER RD NW STE 5040
ATLANTA, GA 30309
Fulton County (404) 367-3210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelara Samuel's NPI number?

The NPI number for Kelara Samuel is 1386224798. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Kelara Samuel located?

Kelara Samuel practices at 105 Collier Rd NW Ste 5040, Atlanta, GA 30309. The listed phone number is (404) 367-3210.

What is Kelara Samuel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelara Samuel enrolled in Medicare?

Yes. Kelara Samuel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelara Samuel was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.